Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 0101267021 | VA |
NPI | 1164869020 |
---|---|
Provider Name | Kyzwana N Caves |
First Address | Norfolk, VA 23507-1910 |
Second Address | Norfolk, VA 23510-1065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2013 |
Last Update Date | 09/04/2020 |